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NUR 417
NUR 417 Final Exam 2025 Care of Adult II Actual
Questions and Answers – Concordia University St. Paul
Meningitis is an infection of the _____ and _____; it can be caused by _____
or _____. Which is more serious? - ANS CSF, meninges; viruses, bacteria,
bacterial is more serious
If increased ICP/meningitis is suspected, do not lay the patient ____, and
don't _____them. - ANS flat, suction
Pts with cerebral plasy may have _____, ______, or _____. - ANS pressure
ulcers, UTIs, or constipation
When in doubt, assess _____. - ANS LOC
Febrile seizures are caused by ____ in temperature. - ANS rapid increase
The Hib and PCV vaccines can help to prevent _____. - ANS bacterial
meningitis
NUR 417
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NUR 417
What are three risk factors for bacterial meningitis? - ANS Crowed living
conditions, penetrating head injury, bacterial infection
Viral meningitis is usually preceded by a _____, such as such as
cytomegalovirus, adenovirus, mumps, herpes simplex virus, and arbovirus. -
ANS viral infection
What are the four main symptoms of meningitis? - ANS Photophobia ●
Nausea ● Irritability ● Headache
Unconscious pts should be monitored for _____, since this will increase their
_____. You can treat this with _____ since antipyretics might not work. - ANS
hyperthermia, BMR; a cooling blanket
Pts in a coma typically lack a _____ reflex, so you need to protect their eyes. -
ANS corneal
What is Brudzinki's sign? What is it a sign of? - ANS Bending knees when neck
is flexed - meningitis
What is nuchal rigidity? What is it a sign of? - ANS Inability to flex neck,
meningitis
NUR 417
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NUR 417
Nuchal rigidity, Kernig's sign, and Brudzinki's sign will not appear in ____ with
meningitis, and it may or may not appear in children _____ (not reliable). -
ANS newborns, 3 months to 2 years
What is Kernig's sign? What is it a sign of? - ANS Inability to straighten leg at
90 degrees - meningitis
In children less than 2, ______ is a late sign of meningitis. - ANS bulging
fontanelles
Vomiting and fever are signs of _____ in all ages. Newborns may also have
_____. - ANS meningitis; hypothermia
_____ are often the initial sign of meningitis in children and adolescents.
They may also be seen in children ages _____. - ANS Seizures, 3 mo - 2 yrs
Petechiae or purpuric-type rash, involvement of joints, and ear drainage are
signs of _____ meningitis. - ANS bacterial
True or false: CSF cultures are always positive in meningitis - ANS False -
sometimes only blood cultures are positive
In bacterial meningitis, the Gram stain may be _____ in viral meningitis, it
will be _____. - ANS +, -
NUR 417
, 4
NUR 417
The definitive test for meningitis is a _____. A ___ or ____ may also be
performed to check for abscess or increased ICP. - ANS lumbar puncture; CT,
MRI
After a lumbar puncture, pts should lay _____ to avoid a _____. - ANS flat,
headache
The presence of petechiae or a purpuric-type rash in a meningitis pt is a
_____. - ANS medical emergency
What precautions are needed for a meningitis pt? - ANS Seizure, droplet,
contact
What environmental adaptations are needed for meningitis pts? - ANS Cool
temp, low lighting, no pillow
Meningitis pts are generally _____, and you may need to restrict fluids if
_____ is increased. - ANS NPO, ICP
In viral meningitis, CSF glucose levels are ____; in bacterial meningitis, they
may be _____. - ANS normal, decreased
NUR 417
NUR 417
NUR 417 Final Exam 2025 Care of Adult II Actual
Questions and Answers – Concordia University St. Paul
Meningitis is an infection of the _____ and _____; it can be caused by _____
or _____. Which is more serious? - ANS CSF, meninges; viruses, bacteria,
bacterial is more serious
If increased ICP/meningitis is suspected, do not lay the patient ____, and
don't _____them. - ANS flat, suction
Pts with cerebral plasy may have _____, ______, or _____. - ANS pressure
ulcers, UTIs, or constipation
When in doubt, assess _____. - ANS LOC
Febrile seizures are caused by ____ in temperature. - ANS rapid increase
The Hib and PCV vaccines can help to prevent _____. - ANS bacterial
meningitis
NUR 417
, 2
NUR 417
What are three risk factors for bacterial meningitis? - ANS Crowed living
conditions, penetrating head injury, bacterial infection
Viral meningitis is usually preceded by a _____, such as such as
cytomegalovirus, adenovirus, mumps, herpes simplex virus, and arbovirus. -
ANS viral infection
What are the four main symptoms of meningitis? - ANS Photophobia ●
Nausea ● Irritability ● Headache
Unconscious pts should be monitored for _____, since this will increase their
_____. You can treat this with _____ since antipyretics might not work. - ANS
hyperthermia, BMR; a cooling blanket
Pts in a coma typically lack a _____ reflex, so you need to protect their eyes. -
ANS corneal
What is Brudzinki's sign? What is it a sign of? - ANS Bending knees when neck
is flexed - meningitis
What is nuchal rigidity? What is it a sign of? - ANS Inability to flex neck,
meningitis
NUR 417
, 3
NUR 417
Nuchal rigidity, Kernig's sign, and Brudzinki's sign will not appear in ____ with
meningitis, and it may or may not appear in children _____ (not reliable). -
ANS newborns, 3 months to 2 years
What is Kernig's sign? What is it a sign of? - ANS Inability to straighten leg at
90 degrees - meningitis
In children less than 2, ______ is a late sign of meningitis. - ANS bulging
fontanelles
Vomiting and fever are signs of _____ in all ages. Newborns may also have
_____. - ANS meningitis; hypothermia
_____ are often the initial sign of meningitis in children and adolescents.
They may also be seen in children ages _____. - ANS Seizures, 3 mo - 2 yrs
Petechiae or purpuric-type rash, involvement of joints, and ear drainage are
signs of _____ meningitis. - ANS bacterial
True or false: CSF cultures are always positive in meningitis - ANS False -
sometimes only blood cultures are positive
In bacterial meningitis, the Gram stain may be _____ in viral meningitis, it
will be _____. - ANS +, -
NUR 417
, 4
NUR 417
The definitive test for meningitis is a _____. A ___ or ____ may also be
performed to check for abscess or increased ICP. - ANS lumbar puncture; CT,
MRI
After a lumbar puncture, pts should lay _____ to avoid a _____. - ANS flat,
headache
The presence of petechiae or a purpuric-type rash in a meningitis pt is a
_____. - ANS medical emergency
What precautions are needed for a meningitis pt? - ANS Seizure, droplet,
contact
What environmental adaptations are needed for meningitis pts? - ANS Cool
temp, low lighting, no pillow
Meningitis pts are generally _____, and you may need to restrict fluids if
_____ is increased. - ANS NPO, ICP
In viral meningitis, CSF glucose levels are ____; in bacterial meningitis, they
may be _____. - ANS normal, decreased
NUR 417
